Report #2857094

Received Sep 5, 2025

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 64 yrs
State: TX
Recovered: Unknown
Vaccinated: Aug 29, 2025
Onset: Aug 29, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	B0021	IM / LA

Symptoms (1)

Unevaluable event

Symptom narrative

On 08/29/2025 patient presents to clinic, requesting Covid 19 vaccine Moderna 2024-25 (Spikevax). On Tuesday 08/26/2025 after conversation with Bureau Chief Nurse, she stated that we should offering Covid 19 vaccines 2024-25 until the expiration dates, as we are still in 2025. On 09/4/2025 an email was recieved from Immunization Bureau to quarantine and discontinue all Covid 19 Vaccines immediately. Vaccines were picked up by Bureau staff around noon on 09/04/2025 to be returned to the manufacturer.

Current illness

None.

Medical history

None

Other medications

None, per patient.

Allergies

No known allergies , per patient.

Lab data

None